Emergency Meeting on Dengue

Situation
Amelita M. Pangilinan, MD, MPH, CESO IV
OIC- Director IV, CHD CAR

Department of Health Center for Health Development- CAR

Dengue Cases by 3,943 total
cases
Municipality, CAR (MW 1-30)
MW 1-30, 2019
19% higher
compared to same
period last year

7 deaths
Legend: reported
(0.3% CFR)

96 (8.10%) of
Barangays
with clustering

Department of Health Center for Health Development- CAR

 Timeline of Dengue Suspect Cases
Cordillera Administrative Region, 9-year data
7000 (as of July 27, 2019)

Alive Death
6000

5000
No. of Cases

4000

3000

2000

1000

0
1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th 1st 2nd 3rd 4th
2010 2011 2012 2013 2014 2015 2016 2017 2018 2019

Year per Quarter

Department of Health Center for Health Development- CAR
 Dengue Suspect Cases by Morbidity Week
Cordillera Administrative Region, Morbidity Week 1-30 (5 Year Data)
(January 1 to July 27, 2019)

800
2019 Epidemic Threshold Alert Threshold

700

600

500
No. of Cases

400

300

200

100

0
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51
Morbidity Week

Department of Health Center for Health Development- CAR

 Dengue Suspect Cases Detected
Cordillera Administrative Region, Morbidity Week 1-30 2018 & 2019
2019 2018 Percent
Province/ City
Cases Death Cases Death Change
Abra 604 0 574 0 5% ↑
Apayao 710 0 440 0 61% ↑
Baguio City 302 1 309 1 2% ↓
Benguet 661 4 620 1 7% ↑
Ifugao 413 0 169 0 122% ↑
Kalinga 422 0 633 0 33% ↓
Mountain Province 261 1 128 0 103% ↑
Subtotal 3373 6 2,873 0 17% ↑
Non-CAR 570 1 454 4 26% ↑
Total 3,943 7 3,327 6 19% ↑

Department of Health Center for Health Development- CAR

Profile of Deaths among Dengue Cases

7 deaths (CFR: 0.3%) were reported:

Baguio City: 81 y/o male

Benguet : 3, 8, 20, and 56 year-old males
- 2 Itogon (3, 56), 1 La Trinidad (8), 1 Tuba (20)
Mt. Province: 12 years old female (Sabangan)
Bani, Pangasinan: 9 year-old female (BGHMC)

Department of Health Center for Health Development- CAR

 Dengue Suspect Cases by Sex and Age Group
Cordillera Administrative Region, January 1 to July 27, 2019

Age Group
Male Female

61 y/o & above 77 117

51 y/o to 60 y/o 79 88

41 y/o to 50 y/o 95 100

31 y/o to 40 y/o 158 159

21 y/o to 30 y/o 274 231

11 y/o to 20 y/o 574 512

1 to 10 y/o 750 646

<1 y/o 48 35

900 800 700 600 500 400 300 200 100 0 100 200 300 400 500 600 700 800
Number of Cases

Department of Health Center for Health Development- CAR

Dengue Suspect cases Per Province (January 1 to July 27, 2019)

Province & Cases Attack Rate Province & Cases Attack Rate
/10,000 population /10,000 population
Municipality Municipality
Abra 604 24.55 LICUAN-BAAY (LICUAN) 1 2.09
LUBA 56 86.58
BANGUED (Capital) 54 10.99
MALIBCONG 2 5.72
BOLINEY 66 181.04
MANABO 26 23.68
BUCAY 33 18.90
PEÑARRUBIA 18 26.57
BUCLOC 7 27.43
PIDIGAN 2 1.61
DAGUIOMAN 3 14.08
PILAR 21 20.13
DANGLAS 8 18.70
SALLAPADAN 16 23.68
DOLORES 9 7.80
SAN ISIDRO 1 2.14
LA PAZ 26 16.51
SAN JUAN 4 3.97
LACUB 4 11.52
SAN QUINTIN 0 0.00
LAGANGILANG 41 28.19
TAYUM 14 9.48
LAGAYAN 9 19.61
TINEG 1 1.92
LANGIDEN 9 27.58
TUBO 126 216.69
VILLAVICIOSA 47 85.43

Department of Health Center for Health Development- CAR

Dengue Suspect cases Per Province (January 1 to July 27, 2019)

Province & Cases Attack Rate

Municipality /10,000 population

Apayao 710 57.12

CALANASAN (BAYAG) 50 38.03
CONNER 45 16.56
FLORA 65 35.83
KABUGAO (Capital) 18 11.11
LUNA 150 75.44
PUDTOL 75 48.18
SANTA MARCELA 307 216.22

Department of Health Center for Health Development- CAR

Dengue Suspect cases Per Province (January 1 to July 27, 2019)

Province & Cases Attack Rate

Municipality /10,000 population

Benguet 660 13.82

ATOK 38 18.05
BAKUN 11 6.69
BOKOD 21 14.26
BUGUIAS 32 6.85
ITOGON 48 7.50
KABAYAN 20 12.25
KAPANGAN 23 11.10
KIBUNGAN 17 9.19
LA TRINIDAD (Capital) 346 25.03
MANKAYAN 29 7.54
SABLAN 12 9.79
TUBA 22 4.31
TUBLAY 41 21.41
Baguio City 302 8.17
Department of Health Center for Health Development- CAR
Dengue Suspect cases Per Province (January 1 to July 27, 2019)

Province & Cases Attack Rate

Municipality /10,000 population

Ifugao 413 19.48

BANAUE 7 3.07
HUNGDUAN 11 11.19
KIANGAN 68 38.16
LAGAWE (Capital) 84 41.56
LAMUT 84 31.79
MAYOYAO 4 2.21
ALFONSO LISTA (POTIA) 71 21.15
AGUINALDO 51 25.14
HINGYON 19 19.70
TINOC 8 4.62
ASIPULO 14 8.78

Department of Health Center for Health Development- CAR

Dengue Suspect cases Per Province (January 1 to July 27, 2019)

Province & Cases Attack Rate

Municipality /10,000 population

Kalinga 422 19.07

BALBALAN 9 7.09
LUBUAGAN 12 13.20
PASIL 31 30.89
PINUKPUK 78 23.40
RIZAL (LIWAN) 25 14.10
CITY OF TABUK (Capital) 247 21.45
TANUDAN 11 11.09
TINGLAYAN 9 6.72

Department of Health Center for Health Development- CAR

Dengue Suspect cases Per Province (January 1 to July 27, 2019)

Province & Cases Attack Rate

Municipality /10,000 population

Mountain Province 261 16.85

BARLIG 3 6.21
BAUKO 19 6.10
BESAO 13 18.43
BONTOC (Capital) 55 22.28
NATONIN 7 6.80
PARACELIS 53 18.81
SABANGAN 12 12.86
SADANGA 39 44.24
SAGADA 50 44.85
TADIAN 10 5.15

Department of Health Center for Health Development- CAR

Actions Taken (January to Present)
PRIMARY CARE

I. Prevention and Control

II. Case Management
III. Logistics
IV. Outbreak Response
V. Disease Surveillance
VI. Miscellaneous Provisions

Department of Health Center for Health Development- CAR

 PREVENTION AND CONTROL

Department of Health Center for Health Development- CAR

A. Letter to all municipal and provincial LCEs, and DepEd
• Advised on dengue status
• Recommended anti-dengue activities: Enhanced 4S-strategy, larval
surveillance, larvicide application, Aksyon Barangay Kontra Dengue Zika at
Chikungunya (mass clean-up drive), spraying in hotspot areas, issuance of
local ordinance
• Suspension of wearing skirt uniforms for students

Department of Health Center for Health Development- CAR

B. Health Education and Awareness Campaigns
1. Region-wide Awareness Campaigns with fund support from the
office
✓ In collaboration with the Provincial DOH Office and Provincial
Health Office

Two activities conducted:

1. Mosquito-borne Disease Awareness Campaign
2. Observation of the ASEAN Dengue Day

Department of Health Center for Health Development- CAR

 Dengue awareness campaigns in the region

Department of Health Center for Health Development- CAR

B. Health Education and Awareness Campaigns
2. Advocated Dengue Prevention and Control Program during the
Department of Education Heath Advocacy Meeting (Brigada
Eskwela) of Baguio and Benguet DepEd.

Department of Health Center for Health Development- CAR

B. Health Education and Awareness Campaigns
3. Through Quad-Media
➢ Posted Dengue information materials in DOH CHD CAR
Facebook page (Reached individuals: 92,246, Engagements: 8,500)
➢ Distribution of Dengue health advisories to all provinces.
➢ Local media engagements for health information
dissemination
➢ Newspaper Advertisement
➢ Various “Kapihan” Sessions

Department of Health Center for Health Development- CAR

C. Provision of Technical Assistance
1. On-site Program Monitoring
2. Larval Surveillance Training

Department of Health Center for Health Development- CAR

D. Mobilization of Human Resources for Health (HRH)
➢Released DOH-CHD-CAR Memorandum No. 2019-001 for the HRH to
prioritize dengue prevention and control program under the supervision of
the Provincial DOH Offices.
➢The activities will be in coordination with the Rural Health Units.

Conduct of house-to-house visit to:

a. Search and destroy mosquito breeding sites
b. Advocate dengue prevention and control activities (4S strategy)
c. Perform active case detection through fever surveillance

Department of Health Center for Health Development- CAR

D. Mobilization of Human Resources for Health (HRH)

➢Accomplishments (July 18 – 29, 2019):

No. of household visited: 30,599
No. of schools visited: 31
IEC ride-on to other activities: 2

Department of Health Center for Health Development- CAR

 HRH anti-dengue activities

Department of Health Center for Health Development- CAR

 CASE MANAGEMENT

Department of Health Center for Health Development- CAR

Release of Circular on the Establishment/ Reactivation of
Dengue Fastlane

Department of Health Center for Health Development- CAR

 LOGISTICS

Department of Health Center for Health Development- CAR

Allocated and Pre-positioned logistics
LOGISTICS
Insecticide
PROVINCE/ Drum Net
Dengue Treated Adulticide Larvicide
CITY Cover
RDT (kits) Curtains (bottles) (sachets)
(pieces)
(rolls)
Abra 2,200 24 55 200 100
Apayao 2,950 63 113 1,400 200
Baguio City 785 7 20 500 300
Benguet 2,580 26 47 1,000 300
Ifugao 1,540 15 36 1,700 100
Kalinga 1,225 9 28 500 100
Mt. Province 935 12 32 405 100
Total 12,215 156 331 5,705 1,200

Department of Health Center for Health Development- CAR

 OUTBREAK RESPONSE

Department of Health Center for Health Development- CAR

A. Formation of the Regional Dengue Task Force for the
prevention, control and response to dengue outbreak

Department of Health Center for Health Development- CAR

B. Outbreak Investigation Conducted
• Conducted in Abra: Tubo & Boliney; Apayao: Sta. Marcela
• Outbreak verified and interventions recommended

Department of Health Center for Health Development- CAR

C. HEALTH EMERGENCY PREPAREDNESS
1. Alert Code raised to DOH CHD CAR, DOH retained hospitals and
P/CDOHOs.
2. Health Emergency Response Team (HERT) activated
3. Inventory of Logistics done. Drugs and Medicines available at RO
Warehouse: 1,549,482.58
4. Prepositioning of HEM logistics at PDOHOs. Coordinated provision of
logistics from PDOHOs to DOH Retained hospitals.
5. Operations Center on 24/7 duty.

Department of Health Center for Health Development- CAR

 DISEASE SURVEILLANCE

Department of Health Center for Health Development- CAR

Regular surveillance activities
1. Capability building of Epidemiology and Surveillance Units
(ESU) of all LGUs and hospitals.
2. Monitoring, on-site mentoring, and functionality assessment
of Provincial/City ESUs, capital town MESUs, provincial
hospital HESUs, and DOH Retained hospitals.
3. Conduct of regular surveillance activities and weekly data
analysis.

Department of Health Center for Health Development- CAR

 MISCELLANEOUS ACTIVITIES

Department of Health Center for Health Development- CAR

Meeting and Coordination with Partners/ Stakeholders
• OCD Emergency Response Meeting on Dengue Incidences in CAR
• CHD-CAR presented the regional dengue status and actions done.
• Participation of the council members were discussed

Department of Health Center for Health Development- CAR

Meeting and Coordination with Partners/ Stakeholders
• Regional Implementation Coordination Team (RICT)
meeting
• Benguet Dengue Stakeholders’ Meeting
• Attended and provided technical assistance

Department of Health Center for Health Development- CAR

Meeting and Coordination with Partners/ Stakeholders
• Meeting with Benguet Provincial Health Office
• Dengue status and dengue prevention and control program in the
province were discussed

Department of Health Center for Health Development- CAR

Action Plan for Dengue Prevention and Control
Responsible
Proposed Resource
Activity Person/s Estimated
PRIMARY CARE Cost Remarks
Timeline Requirement
(Office)

- Dengue NS1 RDT

500,000
- Insecticides
1,000,000
CHD-CAR - Insecticide Treated 1 Vector
Augmentation of August to
1 Program Screen surveillance kit/
Logistics December 1,000,000
Coordinator - Vector Surveillance municipality
100,000
Kit
500,000
- Drum Net Cover

School-based CHD-CAR, 1 school/

Meals and Snacks 210,000
2 Awareness August P/CDOHO, province/ City
IEC Materials 90,000
Campaigns P/CHO, DepEd 100 PAX/ school

Department of Health Center for Health Development- CAR

Action Plan for Dengue Prevention and Control
Responsible
Proposed Resource PRIMARY CARE
Activity Person/s Estimated Cost Remarks
Timeline Requirement
(Office)

Provincial
CHD-CAR, Snacks and meal/
3 Stakeholder’s September 200,000
P/CDOHO, PHO Board and lodging
Meeting

Intensified Reproduction of IEC 200,000

August to HEPO, Program
4 Information materials,
December Coordinator
Campaign Radio Plugging 75,000

Department of Health Center for Health Development- CAR

Maraming salamat po!